HomeMy WebLinkAbout0041161-HVAC (a/c) N- 41161
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CITY OF OSHKOSH
PERMIT — APPLICATION AND RECORD -
TYPE: BLDG ❑ HTG gl ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS d 2" / if 1 PLAN NO.
OWNER DO/`4 a'r g - /
DESIGNER
USE /NATURE OF WORK AV ,/G-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR / 4 r F•
Heat A/C Vent Fuel/System 7' �
❑ � ❑ y �-! V - Heat Loss gie BTU'S I- - Ye v,
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH _ Disp _ WSoft — CBasin
Lav _ Sh _ DW — DF — San. Sewer
— WC _ FDr _ SP _ Ur — Storm Sewer
— Sink _ LTub — Eject — SS — Water
Other
FEES: Valuation $ / C Permit Fee Paid $ / 7 ` er& y Park Dedication $
1 / ISSUED BY Date /e// Final /O.P. 9 - ao c,
In the performa of t- work I a• ee • pe •r all work purs to rules governing the described construction.
SIGNATU c
OrPg
AGENT /OWNER D
0 *-- V:Z ADDRESS ///1 .---3 .1 7- •?-970 �
/' � TV70 TELEPHONE
*PPI M ' PERMIT NO. 1. 7 9 /4
4
001E44 *ill 5
OWNER
NATURE OF WORK G
HEATING CONTRACTOR
FUEL: GAS
OIL SOLAR SOLID
CONDITIONING FORCED AIR H,W,
SYSTEM ELEC. BASE. STEAM
RADIANT SU
CHIMNEY: "p ' 1 8
CALCULATED HEAT LOSS DIRECT VENT CON. BURNER
MISC. ��' SYSTEM BTU RATING .Z y
INSP. ROUGH IN
EST. COST / FINAL Q� Q
� CV PERMIT FEES . . c>f DATE PD ' 3'
REMARKS ;� $